California Society of Anesthesiologists Bulletin Spring/Summer 2014 - (Page 47)
PRACTICE ALERT
New Best Practices for
Treating Preeclampsia
By Mark Zakowski, MD
Member, Preeclampsia Task Force, California Maternal Quality Care Collaborative,
Chair, Legislation and Practice Affairs Division, California Society of Anesthesiologists,
Chair, Education Committee, Society of Obstetric Anesthesia and Perinatology
T
he recommendations for the management of even long-familiar
diseases, like preeclampsia, occasionally require major updates.
The California Maternal Quality Care Collaborative (CMQCC)
recently released the Preeclampsia Toolkit (www.cmqcc.org/
preeclampsia_toolkit ) - 158 pages of useful information, guidelines,
algorithms, clinical pearls, and even an educational slide set.
When the collaborative released its OB Hemorrhage Toolkit in 2010,
the essence of the advisory, if not the exact wording, spread nationally
and led to new standards of practice and improved patient outcomes.
It's likely the same will occur with the Preeclampsia Toolkit, so you
are advised to review the user-friendly materials. The Preeclampsia
Task Force that developed the information and guidelines was a
collaborative effort of the CMQCC, the California Department
of Public Health, and the Maternal, Child and Adolescent Health
Division of the Center for Family Health. The toolkit was developed
over a two-year period.
Background
The maternal death rate in California nearly doubled, to 14 per
100,000 live births, between 1999 and 2008. The spectrum of
hypertensive disorders of pregnancy remains a leading cause of
peripartum maternal mortality, accounting for 17 percent of these
deaths nationally. Preeclampsia also leads to premature birth, with
concomitant neonatal morbidity and mortality. As a result, the
CMQCC toolkit was developed to help clinicians improve these
Spring/Summer 2014 | 47
http://www.cmqcc.org/preeclampsia_toolkit
http://www.cmqcc.org/preeclampsia_toolkit
Table of Contents for the Digital Edition of California Society of Anesthesiologists Bulletin Spring/Summer 2014
Editor's Notes
President's Page
Peering Over the Ether Screen
The Dark Side of Quality Reilluminated and Reimagined
The Perioperative Use of Beta Blockers
ASA Director's Report
Physician Well-Being
Upcoming CSA Anesthesia Seminars
Our Stories
From the Executive Director
Our Stories
Practice Alert
On Your Behalf: Legislative and Practice Affairs
CSA Political Alert
Taking the CSA Grassroots and GASPAC Program from 'Good' to 'Great'
CSA Winter Anesthesia Seminar 2014: Midwinter Educational Interlude
California and National News
News from the Districts
California Society of Anesthesiologists Bulletin Spring/Summer 2014
https://www.nxtbook.com/allen/csab/63-1
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https://www.nxtbook.com/allen/csab/62-3
https://www.nxtbook.com/allen/csab/62-2
https://www.nxtbook.com/allen/csab/62-1
https://www.nxtbook.com/allen/csab/61-4
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